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Showing results for "falls in hospitals".
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1. AHRQ Slide Template 2019-Widescreen (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
   January 01, 2020 - and analysis helped prevent future patient safety events OIG Report: Patient Safety Organizations: Hospital … Privilege of PSWP • PSWP Security Policies and Procedures • Responding to Requests for PSWP • CHS PSO Hospital … techniques from high-risk industries such as nuclear power and aviation, CHS is creating inherently safe hospital … /Unassisted Falls o By Diagnosis Group • Injuries Resulting from Falls/Unassisted Falls o By Diagnosis … • COVID-19 Experience • Flexibility and Teamwork in the age of COVID • Reduction in Catheter-Associated

2. Adverse and Temporary Harm Events in Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
   January 01, 2019 - Adverse and Temporary Harm Events in Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector … Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector General Report1 as Clearly Preventable … Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries, OEI-06- … and pain) medications with frequent falls resulting in back pain • Cascade with oversedation and hypotension … while on multiple opioids (oxycodone/ acetaminophen and fentanyl patch) resulting in multiple falls

3. Artificial Intelligence (AI) in Healthcare Safety Program: October 2024 Update (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/ai-healthcare-safety-program.pdf
   July 01, 2025 - A 2019 report by the HHS Office of the Inspector General3 found that hospitals who work with PSOs highly … place among patients with different risks for falls, suggesting a less tailored approach to fall prevention … npsd/data/dashboard/index.html 11 https://www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook … www.ahrq.gov/npsd/data/dashboard/index.html https://www.ahrq.gov/sites/default/files/wysiwyg/npsd/data/npsd-falls-chartbook … Data submitted in both the Common Formats for Event Reporting – Hospitals version 1.2 and 2.0 were analyzed

4. Network of Patient Safety Databases (NPSD) Chartbooks | PSO
   pso.ahrq.gov/common-formats/npsd-chartbooks
   April 01, 2025 - SHARE: More topics in this section Data … Network of Patient Safety Databases (NPSD) Chartbooks NPSD data is also reflected in … Chartbooks , designed to characterize the nature of patient safety events in hospital settings on a … Topic Specific Chartbooks: 2024 NPSD Medication Chartbook (PDF, 4 MB) 2023 NPSD Falls Chartbook (PDF

5. Network of Patient Safety Databases (NPSD) Dashboards | PSO
   pso.ahrq.gov/common-formats/npsd-dashboards
   November 01, 2024 - SHARE: More topics in this section Data … Additional dashboards of patient safety concerns occurring in the hospital setting include: Blood and … Blood Product Dashboard Device or Medical/Surgical Supply, Including HIT Dashboard Falls Dashboard Perinatal

6. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/npsdpatient-safety-culture-brief.pdf
   September 01, 2016 - during Safe Table events: ■ Failure to inform patients of abnormal test results ■ Factors related to falls … Improved Safety Culture and Teamwork Climate Are Associated With Decreases in Patient Harm and Hospital … their hospital. … 24 hospitals. … Relationship of safety climate and safety performance in hospitals.

7. Adverse and Temporary Harm Events in Rehabilitation Hospitals Designated in OIG Report as Clearly Preventable or Likely Preventable by Clinical Category (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
   July 01, 2016 - Adverse and Temporary Harm Events in Rehabilitation Hospitals Designated in OIG Report as Clearly Preventable … Hospitals Designated in Office of Inspector General Report1 as Clearly Preventable or Likely Preventable … Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries, OEI-06- … transfer to an acute-care hospital • Hemorrhagic cystitis in patient associated with Foley catheter … transfer to an acute-care hospital Sepsis • Cascade event in which delayed recognition of pneumonia

8. Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
   December 21, 2021 - The Falls Dashboard details the extent of harm due to falls, the presence of fall assistance, the … for implementation in a larger hospital with a greater number of high-risk patients. … Guide to patient and family engagement in hospital quality and safety. … among hospitals successful in reducing and maintaining low infection rates.83 Facility leadership ( … associations, which in turn partnered with hospitals and units they recruited into the program.